INTRODUCTION

AMWISAL OINTMENT is a combination of Clobetasol propionate and Salicylic acid which belongs to a group of medicines called Topical Corticosteroids and Keratolytic agents, respectively. AMWISAL OINTMENT is used to treat and provide relief from inflammatory manifestations of skin conditions such as psoriasis (skin condition marked by rash and itchiness) and eczema (skin inflammation) in affected individuals.

AMWISAL OINTMENT is also used to provide relief from skin redness, itching and/or swelling due to various skin conditions. It is also indicated for use to treat other skin conditions such as dermatoses (skin lesion), seborrheic dermatitis of scalp (skin condition marked by scaly patches and red skin on the scalp) and/or ichthyosis vulgaris (inherited skin condition marked by dry & scaly skin) in affected individuals.

AMWISAL OINTMENT is generally not recommended for use in patients allergic to clobetasol and/or salicylic acid. AMWISAL OINTMENT is advised to be used in pregnant and breastfeeding women only if it is clearly necessary.

AMWISAL OINTMENT is not recommended for use in children and adolescents (aged below 12 years). The medicine is advised to be used with caution in elderly patients (aged above 65 years) after consulting the doctor.

The most common side-effects associated with the use of AMWISAL OINTMENT are irritation, burning, redness and/or stinging sensation (at the site of application), skin rash, itching and/or peeling/ thinning of skin. Consult your doctor if any of these symptoms worsens.

USES OF AMWISAL OINTMENT

• Treats and provide relief from inflammatory manifestations of skin conditions such as psoriasis and eczema
• Provides relief from skin redness, itching and/or swelling due to various skin conditions
• Treats other skin conditions such as dermatoses, seborrheic dermatitis of scalp and/or ichthyosis vulgaris in affected individuals

HOW AMWISAL OINTMENT WORKS

AMWISAL OINTMENT provides relief from psoriasis and eczema, where Clobetasol propionate prevents inflammation by blocking the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and/or itchy and Salicylic acid softens the skin by removing dead skin cells and breaking down keratin clumps which results in reducing itchiness and redness of skin, thus providing relief from psoriasis and eczema in affected individuals.

DIRECTIONS FOR USE

Always apply AMWISAL OINTMENT as directed by your physician. It is for external use only. Wash your hands and apply a thin layer of medicine on the affected area. Avoid covering the affected area with airtight dressings unless recommended. Avoid applying the medicine on face, groin or axillae. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

SIDE EFFECTS OF AMWISAL OINTMENT

HOW TO MANAGE SIDE EFFECTS

Itchy Skin:

Try to pat/tap your skin instead of scratching it. Hold a damp towel to cool your skin. Wear loose clothing and avoid tight clothes or clothes made from wool or synthetic fabrics. Avoid using perfumed soaps, deodorants and/or moisturizers and use a skin softener regularly. Consult your doctor if the symptom does not improve or gets worse.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug - Drug interactions:

Inform your doctor if you are taking any ayurvedic, homeopathic and/or any other medicines before applying AMWISAL OINTMENT.

Overdosage:

If you or anyone else applies too much of AMWISAL OINTMENT or accidentally swallows it, consult your doctor immediately or visit the nearby hospital to manage overdose symptoms.

SYNOPSIS

MORE INFORMATION

• Keep AMWISAL OINTMENT out of reach of children
• Store AMWISAL OINTMENT below 30°C

FAQs ABOUT AMWISAL OINTMENT

What is AMWISAL OINTMENT used for?

AMWISAL OINTMENT is used to treat and provide relief from inflammatory manifestations of skin conditions such as psoriasis (skin condition marked by rash and itchiness) and eczema (skin inflammation). It is also used to provide relief from skin redness, itching and/or swelling (due to various skin conditions) which is also indicated for use to treat other skin conditions such as dermatoses (skin lesion), seborrheic dermatitis of scalp (skin condition marked by scaly patches and red skin on the scalp) and/or ichthyosis vulgaris (inherited skin condition marked by dry & scaly skin) in affected individuals.

What are the side effects of AMWISAL OINTMENT?

The most common side-effects associated with the use of AMWISAL OINTMENT are irritation, burning, redness and/or stinging sensation (at the site of application), skin rash, itching and/or peeling/ thinning of skin. Consult your doctor if any of these symptoms worsens.

How AMWISAL OINTMENT works?

AMWISAL OINTMENT provides relief from psoriasis and eczema, where Clobetasol propionate prevents inflammation by blocking the production of certain chemical messengers (prostaglandins) that make the skin red, swollen and/or itchy and Salicylic acid softens the skin by removing dead skin cells and breaking down keratin clumps which results in reducing itchiness and redness of skin, thus providing relief from psoriasis and eczema in affected individuals.

How AMWISAL OINTMENT is applied?

Always apply AMWISAL OINTMENT as directed by your physician. It is for external use only. Wash your hands and apply a thin layer of medicine on the affected area. Avoid covering the affected area with airtight dressings unless recommended. Avoid applying the medicine on face, groin or axillae. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.

Can AMWISAL OINTMENT be used in pregnant and breastfeeding women?

Yes, AMWISAL OINTMENT can be used but with caution in pregnant and breastfeeding women only if it is clearly necessary. Consult your doctor before applying AMWISAL OINTMENT.

REFERENCES

1. KD. Tripathi. Drugs Acting on Skin and Mucous Membranes. Essentials of medical pharmacology. Seventh edition. 2013. Page – 889, 889.

2. Jana Petersen, Claudia Garbe, Sandra Wolf, Brigitte Stephan, Matthias Augustin, Kristina Hagenström. Medicinal Treatment of Elderly Psoriasis Patients before and after Entering a Nursing Home.  NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in September 2022] [Accessed on 16th November 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498407/

3. Lilit Garibyan, Albert S. Chiou, Sarina B. Elmariah. Advanced Aging Skin and Itch: Addressing an Unmet Need. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. [Revised in June 2014] [Accessed on 16th November 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4051285/

4. Ziska Pharmaceuticals Ltd. Closalic Ointment. [Accessed on 16th November 2022] http://ziskapharma.com/uploads/products/Closalic_Insert_Size.pdf

5. Sangrose Laboratories Pvt. Ltd. Closal. [Accessed on 16th November 2022] https://sangroselaboratories.com/products/

6. Swisschem Dermacare. CLOBSOL-S. [Accessed on 16th November 2022] https://www.swisscosmed.in/product/clobetasol-salicylic-acid-3

7. Care Formulation Labs Pvt. Ltd. MYSELIC. [Accessed on 16th November 2022] https://careformulationlabs.com/product/myselic/

8. Velite. CLOBISOL-S LOTION.  [Accessed on 16th November 2022] https://velite.in/index.php?route=product/product&product_id=183

9. Ederma Pharma India Pvt Ltd. ECZIVATE-S 6% LOTION. [Accessed on 16th November 2022] https://edermapharma.com/product/eczivate-s-6-lotion/

10. QndQ Derma. Comply-S. [Accessed on 16th November 2022] https://www.qndqdermacare.com/product/comply-s

11. Hanuchem Laboratories. Comply-S. [Accessed on 16th November 2022] https://www.hanuchemlabs.com/ointemnts

12. Innovative Pharmaceuticals Pvt Ltd. Clotrol-S Ointment. [Accessed on 16th November 2022] https://www.innovativepharma.in/product/clotrol-s-ointment/

USEFUL DIAGNOSTIC TESTS

• Patch test
• Skin biopsy